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Although most who gamble do so without harm, approximately 6 million American adults are addicted to gambling. “They should be aware of what their children are doing, and on the other hand, they should motivate pro-active gambling, healthy gambling”, commented Lizbeth García Quevedo. The 194-member meet added excessive gaming to a classified list of diseases as it revised its International Statistical Classification of Diseases and Related Health Problems (ICD-11).citation needed In its 72nd World Health Assembly held on Saturday, May 25, 2019, ‘gaming disorder’ was recognized as an official illness.
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Some experts maintain that casinos in general arrange for self-exclusion programs as a public relations measure without actually helping many of those with problem gambling issues. A study by Wendy Slutske of the University of Missouri concluded one-third of pathological gamblers overcome it by natural recovery. Additionally, for patients with both pathological gambling and a comorbid bipolar spectrum condition, sustained-release lithium has shown efficacy in a preliminary trial. In general, behavior analytic research in this area is growing There is evidence that the SSRI paroxetine is efficacious in the treatment of pathological gambling. As to behavioral treatment, some recent research supports the use of both activity scheduling and desensitization in the treatment of gambling problems.
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This phenomenon was initially described for alcoholism, but it has also been applied to pathological gambling. According to evidence from both community- and clinic-based studies, individuals who are pathological gamblers are highly likely to exhibit other psychiatric problems concurrently, including substance use disorders, mood and anxiety disorders, or personality disorders. Fifth, problem gamblers represent a chronic state of a behavioral spin process, a gambling spin, as described by the criminal spin theory.clarification needed New studies regarding this link show that norepinephrine is secreted under stress, arousal, or thrill, so pathological gamblers gamble to make up for their under-dosage. It has been observed that some pathological gamblers have lower levels of norepinephrine than normal gamblers. Evidence indicates that pathological gambling is an addiction similar to chemical addiction.

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Spain’s gambling watchdog has updated its 2019–2020 Responsible Gaming Program, classifying problem gambling as a mental disorder. This belief is then reinforced through the unpredictable and repeated financial losses that are intrinsic to gambling. Some gamblers often develop learned helplessness—a psychological state in which a person believes they have no control over their situation. Fourth, problem gamblers have several cognitive biases, including the illusion of control, unrealistic optimism, overconfidence and the gambler’s fallacy (the incorrect belief that a series of random events tends to self-correct so that the absolute frequencies of each of various outcomes balance each other out). Third, personality factors such as narcissism, risk-seeking, sensation-seeking, and impulsivity play a role.

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The DSM-IV diagnostic criteria presented as a checklist is an alternative to SOGS, it focuses on the psychological motivations underpinning problem gambling and was developed by the American Psychiatric Association. In this framework, personality traits favoring present-oriented decision-making increase susceptibility to gambling addiction, mirroring risk-taking behaviors seen in other species. Life History Theory further explains why some individuals are more vulnerable to problem gambling, proposing that those with a “fast” strategy (marked by impulsiveness and short-term planning) may be especially drawn to high-risk, high-reward scenarios. Researchers suggest that unpredictability itself motivates animals (including humans) to persevere in reward-seeking despite repeated failures, which can foster persistent gambling behaviour. Younger adults may also be more prone to gambling due to the evolutionary advantage of status-seeking during peak reproductive years.
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